| NPI | 1639281199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN GOTTLIEB President 718-793-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 014624) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 014625) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-01-18 |